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| Condom frenzy |
| By Sarah Etter, News Reporter |
| Published: 12/18/2006 |
Last week, the city of Philadelphia approved free condom distribution in prisons and jails after a recent HIV/AIDS report called for corrections agencies and the federal government to reduce transmissions of the virus and infection for blacks in the criminal justice system. 
The report, African Americans, Health Disparities and HIV/AIDS: Recommendations for Confronting the Epidemic in Black America, is a compilation of research from the last 20 years. Report co-author and Columbia University Associate Dean, Dr. Robert Fullilove, says the research indicates that blacks are seven times more likely than whites to end up incarcerated after arrest. He also estimates that African Americans account for 51 percent of HIV/AIDS diagnoses, but believes that corrections can change those numbers if it would acknowledge the problem behind bars. “We need to embrace an agenda that changes everything about HIV/AIDS in corrections,” Fullilove says. “There are plenty of individual facilities at the state and federal level that do a great job of offering treatment and education, but we need to create an environment where these positive treatments are the rule, not the exception.” The report, which was commissioned by the National Minority AIDS Council, states there is “[a] high rate of incarceration among African-American males. Incarceration is one of the most important drivers of HIV infection among African Americans...There are important questions about the role that formerly incarcerated persons play in transmitting HIV to others following their release from prison or in between periods of incarceration [and] major concerns about the level of HIV education and treatment they may receive while in prison.” Fullilove adds that “communities are becoming poorer and poorer and blacker and browner which creates a risk environment. “People who treat members of a community with an HIV/AIDS problem know exactly how hard it is to have significant positive outcomes for people who are not stably housed. Bouncing from place to place and from provider to provider creates an inability for [medical treatment] to have an impact.” NMAC Director of Public Policy Damon Dozier says that because one out of three African American men will be involved in the penal system they are at a higher risk of becoming HIV positive or developing full blown AIDS once incarcerated. This, along with the Fullilove's fear of unstable housing and care means an imminent danger of the incarcerated bringing their infection back to their community post-release. Fullilove, NMAC and other minority group leaders are promoting an HIV/AIDS plan that promotes a swift change in policy and procedure, calling for optional intake and pre-release screening, distribution of free condoms and emphasizing education. The condom proposal has met resistance among those in corrections as a reported 95 percent of U.S. prisons do not provide free contraceptives to inmates. Dozier says there are two reasons corrections might be reluctant to address the issue. “First of all, sex in prison is a felony in most states,” Dozier explains. “If you admit that there is sex in prison, you're saying there is a lack of control at these institutions. Secondly, we've had anecdotal feedback from many wardens that indicates condoms could be used for contraband or weapons.” Some states do offer the protection, despite possible contraband drawbacks. Eventhough Mississippi and Vermont did not return Corrections.com's calls, they are reportedly condom-friendly. However, in a statement released last week, the Rhode Island DOC said condoms would not be distributed because sex is not allowed in facilities. But condoms aren't the only way to curb transmission. Proponents of the report say pre-release planning is a crucial way to circumvent the spread of the virus after an offender serves time. By offering screening at booking and release, offenders will know whether or not they are infected and can take the proper steps to find treatment. “Our hope is that these initiatives will be considered by our congressional friends,” Dozier says. “We've had a number of congress members endorse this report and we hope that will lead to some concrete changes. I like to dream big.” |
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